Mel,

Being bounced around from Gleevec to a Tasigna trial and then to
Sprycel, and having Trisomy 8 is not the way you would like to have
things go, so the distress is understandable.  From your previous
postings the good news has been your low blast count, which means you
had not advanced to the accelerated stage.  So there is reason to be
grateful that you still seem to be in chronic phase.

Also, from your previous postings your PCRs seem to show that you have
done the best on Tasigna, except for the low platelet issue.  If it
were me, I would give Tasigna another try.  Sometimes the platelet
issue just takes  some time to resolve itself, so you might be able to
tolerate it better if you give it another chance.  Tasigna dosage
reductions and platelet infusions could also be options until your
body gets used to it.

You might also want to have a Secondary Resistance BCR-ABL Mutation
test done to see if you have a resistance to CML drugs (note that this
is a different test than the one that found your Trisomy 8 mutation).
This is a relatively new test.  This test can be done by Genzyme and
MolecularMD.
http://www.molecularmd.com/clinTestsBCRABLMutat.php

It seems that you still have drug options available since you have
responded reasonably well to Tasigna.  Your BMB in a couple weeks will
also provide more information, so I would ask your Onc about switching
back to Tasigna now that it is available, having a Secondary
Resistance BCR-ABL Mutation test done, and otherwise just hang in
there to see if the BMB provides any other useful information.
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